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DEPARTMENT OF INSURANCE
Affiliations
Name
Avantax Insurance Services Inc
DOIID
399632
NAIC NPN
963731
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Variable Life and Variable Annuities
2/12/2002
3/31/2027
Active
Non Resident
Agent
Life
10/23/1999
3/31/2027
Active
Non Resident
Agent
Health
10/7/2002
3/31/2027
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2025
03/31/2025
01/07/2025
01/07/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
3/10/2016
4/28/2025
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
11/20/2000
4/28/2025
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
3/10/2016
4/28/2025
Active
American General Life Insurance Company
301585
Agent - Life
12/6/2012
Active
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
12/6/2012
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
3/31/2000
12/27/2012
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Variable Life and Variable Annuities
3/11/2002
12/27/2012
Inactive
American National Insurance Company
301861
Agent - Health
8/1/2007
5/4/2021
Active
American National Insurance Company
301861
Agent - Life
8/1/2007
Inactive
American National Insurance Company
301861
Agent - Variable Life and Variable Annuities
8/1/2007
5/4/2021
Active
Banner Life Insurance Company
301696
Agent - Life
3/12/2009
Active
Brighthouse Life Insurance Company
301829
Agent - Health
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Life
12/7/2007
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
12/7/2007
Inactive
C.M. Life Insurance Company
301335
Agent - Life
4/24/2000
12/5/2019
Active
Equitable Financial Life Insurance Company
300808
Agent - Life
3/5/2002
Active
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
3/5/2002
Inactive
Everlake Life Insurance Company
300873
Agent - Life
3/25/2002
3/8/2013
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
3/25/2002
3/8/2013
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
12/11/2000
3/27/2009
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
8/8/2000
12/12/2008
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
12/17/1999
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
8/30/2002
Inactive
General American Life Insurance Company
300280
Agent - Health
12/15/2003
11/19/2009
Inactive
General American Life Insurance Company
300280
Agent - Life
12/15/2003
11/19/2009
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
4/14/2003
12/22/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
4/14/2003
12/22/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
4/14/2003
12/22/2016
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
3/25/2002
1/1/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Variable Life and Variable Annuities
3/25/2002
1/1/2005
Inactive
Golden Rule Insurance Company
301943
Agent - Health
10/7/2002
12/13/2016
Inactive
Golden Rule Insurance Company
301943
Agent - Life
5/15/2002
12/14/2016
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
4/23/2015
12/6/2022
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
4/23/2015
12/6/2022
Active
Illinois Mutual Life Insurance Company
301479
Agent - Health
2/11/2009
Active
Illinois Mutual Life Insurance Company
301479
Agent - Life
2/11/2009
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
7/28/2003
6/1/2020
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
7/28/2003
6/1/2020
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
7/24/2001
6/8/2006
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
3/20/2003
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
9/25/2000
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Variable Life and Variable Annuities
10/17/2002
12/30/2009
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
12/30/2009
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
12/30/2009
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
2/12/2002
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
9/25/2000
2/19/2009
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Variable Life and Variable Annuities
10/17/2002
2/19/2009
Inactive
Life Investors Insurance Company of America
301793
Agent - Health
10/7/2002
5/17/2005
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
10/7/2002
5/17/2005
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
10/4/2006
7/14/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
10/4/2006
7/14/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
10/4/2006
7/14/2014
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
11/9/2001
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
3/1/2002
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
4/24/2000
12/5/2019
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
5/19/2008
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
5/19/2008
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
5/19/2008
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
2/5/2004
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
2/5/2004
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
2/5/2004
11/14/2014
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
11/24/2004
12/7/2007
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Variable Life and Variable Annuities
11/24/2004
12/7/2007
Active
Metropolitan Life Insurance Company
301948
Agent - Health
9/17/2004
Active
Metropolitan Life Insurance Company
301948
Agent - Life
9/17/2004
Active
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
5/20/2008
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
2/12/2003
12/26/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
11/30/2000
12/31/2019
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
2/12/2002
12/31/2019
Inactive
Pacific Life Insurance Company
301848
Agent - Life
8/6/2003
12/12/2019
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
8/6/2003
12/12/2019
Inactive
Pan-American Assurance Company
301533
Agent - Life
1/17/2002
2/1/2005
Inactive
Pan-American Life Insurance Company
301530
Agent - Life
1/17/2002
2/1/2005
Active
Penn Insurance and Annuity Company
300712
Agent - Life
8/7/2000
Active
Penn Insurance and Annuity Company
300712
Agent - Variable Life and Variable Annuities
4/15/2009
Active
Penn Mutual Life Insurance Company
301394
Agent - Life
8/7/2000
Active
Penn Mutual Life Insurance Company
301394
Agent - Variable Life and Variable Annuities
4/15/2009
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Life
2/7/2007
10/1/2007
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Variable Life and Variable Annuities
2/7/2007
10/1/2007
Active
Principal Life Insurance Company
300129
Agent - Health
12/2/2010
Active
Principal Life Insurance Company
300129
Agent - Life
10/15/2001
Active
Principal National Life Insurance Company
301926
Agent - Life
3/10/2020
Inactive
Pruco Life Insurance Company
300954
Agent - Health
9/17/2007
12/21/2022
Inactive
Pruco Life Insurance Company
300954
Agent - Life
6/21/2023
12/23/2024
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
9/17/2007
12/21/2022
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
10/23/1999
9/3/2004
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
6/26/2000
9/29/2012
Inactive
Standard Insurance Company
300185
Agent - Life
10/16/2001
12/5/2022
Active
State Life Insurance Company
301497
Agent - Health
9/22/2020
Active
State Life Insurance Company
301497
Agent - Life
9/22/2020
Active
Sun Life Assurance Company of Canada
301811
Agent - Life
2/27/2004
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
4/10/2007
12/31/2012
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
4/10/2007
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
12/31/2012
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Variable Life and Variable Annuities
12/31/2012
12/31/2012
Active
Talcott Resolution Life Insurance Company
301759
Agent - Health
9/10/2008
Active
Talcott Resolution Life Insurance Company
301759
Agent - Life
11/14/2000
Active
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
7/12/2002
Active
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
9/10/2008
Active
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
11/14/2000
Active
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
9/18/2002
Active
Transamerica Life Insurance Company
300571
Agent - Health
10/1/2008
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
1/8/2003
10/21/2020
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
1/8/2003
10/21/2020
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
6/2/2008
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
8/9/2000
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
6/2/2008
10/1/2008
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
10/1/2007
2/27/2013
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Variable Life and Variable Annuities
10/1/2007
2/27/2013
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
12/12/2008
12/26/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
12/12/2008
12/26/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
8/5/2005
5/18/2018
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
8/5/2005
5/18/2018
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
2/2/2009
12/18/2015
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
2/2/2009
12/18/2015
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
2/2/2009
12/18/2015
Inactive
West Coast Life Insurance Company
301607
Agent - Life
5/20/2004
11/16/2011
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Health
10/22/2008
10/27/2010
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
10/22/2008
10/27/2010
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
10/22/2008
10/27/2010
Inactive
Wilco Life Insurance Company
300122
Agent - Life
4/16/2001
6/21/2010
Inactive
Zurich American Life Insurance Company
300216
Agent - Life
5/25/2000
7/13/2011
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Adams, Matthew Taylor
522627
Agent - Health
4/26/2010
12/24/2018
Inactive
Adams, Matthew Taylor
522627
Agent - Life
4/26/2010
12/24/2018
Inactive
Adams, Matthew Taylor
522627
Agent - Variable Life and Variable Annuities
4/26/2010
12/24/2018
Active
Allen, Jason
1192773
Agent - Health
8/21/2023
Active
Allen, Jason
1192773
Agent - Life
8/21/2023
Active
Allen, Jason
1192773
Agent - Variable Life and Variable Annuities
8/21/2023
Inactive
Anneken, David L
507447
Agent - Life
3/4/2002
3/1/2019
Inactive
Anneken, David L
507447
Agent - Variable Life and Variable Annuities
3/4/2002
3/1/2019
Denied
Barnett, David
1205493
Agent - Health
Denied
Barnett, David
1205493
Agent - Life
Denied
Barnett, David
1205493
Agent - Variable Life and Variable Annuities
Inactive
Batman, Stephen Anthony
363572
Agent - Health
10/7/2002
5/17/2019
Inactive
Batman, Stephen Anthony
363572
Agent - Life
10/23/1999
5/17/2019
Inactive
Batman, Stephen Anthony
363572
Agent - Variable Life and Variable Annuities
2/12/2002
5/17/2019
Inactive
Cammack, Marcia Johnson
503524
Agent - Life
3/4/2002
2/25/2003
Inactive
Cammack, Marcia Johnson
503524
Agent - Variable Life and Variable Annuities
3/4/2002
2/25/2003
Inactive
Counts, Kevin Dale
341461
Agent - Health
1/30/2004
5/17/2019
Inactive
Counts, Kevin Dale
341461
Agent - Life
1/30/2004
5/17/2019
Inactive
Counts, Kevin Dale
341461
Agent - Variable Life and Variable Annuities
1/30/2004
5/17/2019
Inactive
Donald, Douglas
534101
Agent - Health
7/15/2003
4/28/2018
Active
Donald, Douglas
534101
Agent - Life
7/15/2003
Active
Donald, Douglas
534101
Agent - Variable Life and Variable Annuities
7/15/2003
Inactive
Erhard, David Anthony
547579
Agent - Health
2/3/2005
5/31/2005
Inactive
Erhard, David Anthony
547579
Agent - Life
2/3/2005
5/31/2005
Inactive
Erhard, David Anthony
547579
Agent - Variable Life and Variable Annuities
2/3/2005
5/31/2005
Inactive
Evans, Lisa R
308348
Agent - Life
3/4/2002
9/1/2023
Inactive
Evans, Lisa R
308348
Agent - Variable Life and Variable Annuities
3/4/2002
9/1/2023
Denied
Gagel, Marlene Elizabeth
728610
Agent - Health
Denied
Gagel, Marlene Elizabeth
728610
Agent - Life
Denied
Gagel, Marlene Elizabeth
728610
Agent - Variable Life and Variable Annuities
Denied
Holland, Andrew C
1308575
Agent - Life
Denied
Holland, Andrew C
1308575
Agent - Variable Life and Variable Annuities
Inactive
Jones, Michael B
509132
Agent - Life
3/4/2002
1/30/2004
Inactive
Jones, Michael B
509132
Agent - Variable Life and Variable Annuities
3/4/2002
1/30/2004
Inactive
Jorgensen, Michael
364408
Agent - Health
8/26/2021
4/30/2023
Inactive
Jorgensen, Michael
364408
Agent - Life
6/3/2021
4/30/2023
Inactive
Jorgensen, Michael
364408
Agent - Variable Life and Variable Annuities
6/3/2021
4/30/2023
Denied
King, David
965089
Agent - Health
Active
King, David
965089
Agent - Life
8/16/2024
Active
King, David
965089
Agent - Variable Life and Variable Annuities
8/16/2024
Denied
Livingston, Michael Anthony
689089
Agent - Health
Inactive
Livingston, Michael Anthony
689089
Agent - Life
10/7/2008
5/17/2019
Inactive
Livingston, Michael Anthony
689089
Agent - Variable Life and Variable Annuities
10/7/2008
5/17/2019
Inactive
Melton, Ricky Lane
579830
Agent - Health
3/15/2004
12/7/2010
Inactive
Melton, Ricky Lane
579830
Agent - Life
3/15/2004
12/7/2010
Inactive
Melton, Ricky Lane
579830
Agent - Variable Life and Variable Annuities
3/29/2004
12/7/2010
Inactive
Oeth, Linda Jayne
382495
Agent - Health
2/3/2005
2/12/2007
Inactive
Oeth, Linda Jayne
382495
Agent - Life
2/3/2005
2/12/2007
Inactive
Oeth, Linda Jayne
382495
Agent - Variable Life and Variable Annuities
2/3/2005
2/12/2007
Inactive
Pagano, Michael Anthony
367490
Agent - Health
5/17/2019
1/1/2023
Inactive
Pagano, Michael Anthony
367490
Agent - Life
5/17/2019
1/1/2023
Inactive
Pagano, Michael Anthony
367490
Agent - Variable Life and Variable Annuities
5/17/2019
1/1/2023
Denied
Polston, Jordan Franklin
1336158
Agent - Health
Denied
Polston, Jordan Franklin
1336158
Agent - Life
Denied
Polston, Jordan Franklin
1336158
Agent - Variable Life and Variable Annuities
Inactive
Rajala, Jessica
1280118
Agent - Health
7/3/2023
11/27/2023
Inactive
Rajala, Jessica
1280118
Agent - Life
8/30/2023
11/27/2023
Inactive
Rajala, Jessica
1280118
Agent - Variable Life and Variable Annuities
8/30/2023
1/31/2025
Inactive
Solt, Timothy S
547576
Agent - Health
2/3/2005
8/31/2005
Inactive
Solt, Timothy S
547576
Agent - Life
2/3/2005
8/31/2005
Inactive
Solt, Timothy S
547576
Agent - Variable Life and Variable Annuities
2/3/2005
8/31/2005
Denied
Tuten, Matthew
1271087
Agent - Health
Denied
Tuten, Matthew
1271087
Agent - Life
Denied
Tuten, Matthew
1271087
Agent - Variable Life and Variable Annuities
Inactive
Williams, Steven G
322741
Agent - Health
6/28/2004
8/31/2015
Inactive
Williams, Steven G
322741
Agent - Life
6/28/2004
8/31/2015
Inactive
Williams, Steven G
322741
Agent - Variable Life and Variable Annuities
6/28/2004
8/31/2015
Inactive
Wright, Marvin James
544322
Agent - Health
2/3/2005
6/30/2015
Inactive
Wright, Marvin James
544322
Agent - Life
2/3/2005
6/30/2015
Inactive
Wright, Marvin James
544322
Agent - Variable Life and Variable Annuities
2/3/2005
6/30/2015
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